Individual
DARIAN GLENN MEHALIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
(843) 365-6685
Mailing address
2404 WISE RD, P.O. BOX 136, CONWAY, SC 29526-5521
(843) 365-8884
(843) 365-6685
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 5054
SC
101YM0800X
Mental Health Counselor
LPC 4930
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102804
—
NC
Enumeration date
09/29/2006
Last updated
01/22/2016
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